165882 11/12/2008 CITY OF CARMEL INDIANA VENDOR: 358825 Page 1 of 1
ONE CIVIC SQUARE MISTER ICE OF INDIANAPOLIS
CARMEL, INDIANA 46032 7954 E 88TH ST CHECK AMOUNT: $240.00
INDIANAPOLIS IN 46256 CHECK NUMBER: 165882
CHECK DATE: 11/1212008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1150 4239040 27585 240.00 FOOD BEVERAGES
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Lease Invoice
Invoice No: 27585
Date: 11/20/2008
OF INDIANAPOLIS Due Date: 11/20/2008
Terms: Due Upon Receipt
7954 East 88th St. cust PO:
Indianapolis, IN 46256 Reference: Monthly Service
Tel. 317 849 -4466 Lease 50993
Fax. 317 578 -0750 AcctNo: 50993
Billing Address: Location Address:
Carmel Redevelopment Commission Brookshire Golf Club
12120 Brookshire Parkway 12120 Brookshire Parkway
CARMEL, IN 46033 CARMEL, IN 46033
ItemNo Description Qty Unit Price Extended
OE -LEASE Full Service Lease for FIELD GARAGE 1.00 MONTH $120.00 $120.00
ice machine
OE -LEASE Full Service Lease for SNACK SHOP 1.00 MONTH $120.00 $120.00
ice machine
Blank Acount Numbers indicate invoices prior to June 2008
Open Invoices as of: 4- Nov -2008
Invoice Location Account Company Amount Due Date
26126 50993 Brookshire Golf Club $240.00 10/20/2008
613505 $7.20 02/20/2007
632121' $240.00 06/2012008
Tear Off Return With Payment
for proper credit.
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total oZ 4 O
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOA %CHER NO. WARRANT NO.
ALLOWED 20
-Yee f IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
(S a"7 yggD "a go bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
20
Signature
Cost distribution ledger classification if
Title Director of Golf
claim paid motor vehicle highway fund